<div class="pageContent">
	
	<form method="post" action="/index.php?act=visit&st=visitAdd" class="pageForm required-validate" onsubmit="return validateCallback(this, dialogAjaxDone)">
		<div class="pageFormContent" layoutH="58">

			<p>
				<label>业务员ID号：</label>
				<input name="sales_id" class="required" type="text" size="30" value="" errormsg="请输入业务员ID" alt="业务员微信ID,最多5个,以#分割"/>
			</p>
			<p>
				<label>业务员名称：</label>
				<input name="sales_name" class="required" type="text" size="30" value="" errormsg="请输入业务员名称"/>
			</p>
			<p>
				<label>负责区域：</label>
				<input name="sales_area" class="required" type="text" size="30" value="" errormsg="请输入负责区域"/>
			</p>
			<p>
				<label>负责产品：</label>
				<input name="sales_produce" class="required" type="text" size="30" value="" errormsg="请输入负责产品"/>
			</p>
			<p>
				<label>所在部门：</label>
				<input name="sales_part" class="required" type="text" size="30" value="" errormsg="请输入所在部门"/>
			</p>
			<div class="divider"></div>

			<p>
				<label>走访单位：</label>
				<input name="visit_unit" class="required" type="text" size="30" value="" errormsg="请输入走访单位"/>
			</p>
			<p>
				<label>走访地址：</label>
				<input name="visit_addr" class="required" type="text" size="30" value="" errormsg="请输入走访地址" />
			</p>
			<p>
				<label>接待人姓名：</label>
				<input name="recevie_name" class="required" type="text" size="30" value="" errormsg="请输入接待人姓名"/>
			</p>
			<p>
				<label>接待人职务：</label>
				<input name="recevie_study" class="required" type="text" size="30" value="" errormsg="请输入接待人职务"/>
			</p>
			<p>
				<label>接待人电话：</label>
				<input name="recevie_mobile" class="required" type="text" size="30" value="" errormsg="请输入接待人电话"/>
			</p>
			<p>
				<label>接待人邮箱：</label>
				<input name="recevie_email" class="required" type="text" size="30" value="" errormsg="请输入接待人邮箱"/>
			</p>
			<p>
				<label>走访日期：</label>
				<input type="text" name="recevie_date" class="date required" size="30" errormsg="请输入走访日期" dateFmt="yyyy-MM-dd HH:mm:ss" readonly="true"/><a class="inputDateButton" href="javascript:;">选择</a>
			</p>
			<p>
				<label>处理日期：</label>
				<input type="text" name="handle_date" class="date required" size="30" errormsg="请输入处理日期" dateFmt="yyyy-MM-dd HH:mm:ss" readonly="true"/><a class="inputDateButton" href="javascript:;">选择</a>
			</p>
			<p>
				<label>处理状态：</label>
				<input name="handle_msg" type="text" class="required" size="30" value=""/>
			</p>

			<div class="divider"></div>
			<div class="unit">
				<label>用户概况：</label>
				<textarea name="recevie_facts" rows="10" cols="100"></textarea>
			</div>
			<div class="unit">
				<label>反馈问题：</label>
				<textarea name="recevie_question" rows="10" cols="100"></textarea>
			</div>
			<div class="unit">
				<label>需求信息：</label>
				<textarea name="recevice_mind" rows="10" cols="100"></textarea>
			</div>
		</div>
		

		<div class="formBar">
			<ul>
				<li><div class="buttonActive"><div class="buttonContent"><button type="submit">提交</button></div></div></li>
				<li><div class="button"><div class="buttonContent"><button type="button" class="close">取消</button></div></div></li>
			</ul>
		</div>

	</form>

</div>